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RESERVATION FORM
DATE :
2009
2010
2011
2012
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
NAME :
SEX :
Male
Female
ROOM Type :
[ Select Room Type]
Deluxe Room
Twin Room
Triple Room
Deluxe Suite
RESIDENCE ADDRESS :
TEL NO :
NATIONALITY :
AGE :
DATE OF BIRTH :
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
PLACE OF BIRTH :
TIME :
FROM :
DATE CHECK IN :
2009
2010
2011
2012
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
OCCUPATION :
No. of Days Stayed :
CHECK OUT
DATE
TIME
2009
2010
2011
2012
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1.00 P.M.
REMARKS :
MY ACCOUNT WILL BE HANDLED BY :
CASH
CREDIT CARD
NO. OF PERSONS STAYED :
RATE :